The Implementation of a Pharmacy Student-led Medication History Program in a Large, Tertiary Pediatric Emergency Center

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dc.contributor.advisorFernandez, Julie
dc.contributor.committeeMemberBernhardt, Brooke
dc.contributor.committeeMemberLiechti, Sara A.
dc.contributor.committeeMemberBork, Sara
dc.contributor.committeeMemberAlonzo, Amy
dc.contributor.committeeMemberDavis, Stephen
dc.contributor.committeeMemberCheng, Melanie
dc.contributor.committeeMemberWinslow, Ryan
dc.contributor.committeeMemberPatel, Binita
dc.creatorMcClain, Claire A.
dc.creator.orcid0000-0002-6305-1791
dc.date.accessioned2017-07-17T16:18:54Z
dc.date.available2017-07-17T16:18:54Z
dc.date.createdMay 2017
dc.date.issued2017-05
dc.date.submittedMay 2017
dc.date.updated2017-07-17T16:18:54Z
dc.description.abstractPurpose The implementation of a pharmacy student-led medication history program in the Emergency Center to identify and prevent medication-related errors. Methods This was a twelve-week pilot study from October 2016 to January 2017 that evaluated the implementation of a medication history program within a large, tertiary pediatric Emergency Center. Pharmacy students were trained and process-validated by a pharmacist to complete medication histories for patients with admission status. The students compared the current medication list in the electronic medical record to the medication list obtained through the patient interview. The following discrepancies were documented on the data collection form: incorrect/missing dose, incorrect/missing route, incorrect/missing frequency, incorrect/missing drug, incorrect/missing allergy, incorrect/missing formulation, discontinued/not taking drug, and duplication. Additional information collected included: time to complete medication histories, number of outside pharmacies used, total number of home medications in the record, and total number of medications reported during the interview. Results Students completed 180 medication histories. Within this population, 98 (54%) were male. The mean ± S.D. age and weight reported were 6.3 ± 6.1 years and 28.7 ± 27 kilograms, respectively. There was a mean ± S.D of 3 ± 3.1 discrepancies per patient. The mean ± S.D time spent on a medication history was 8.7 ± 4.8 minutes per patient. In accordance with the Pareto Principle, approximately 80% of 522 discrepancies came from discontinued/not taking drug (34%), incorrect/missing drug (31%), and incorrect/missing dose (14%). Conclusion Pharmacy students, with appropriate oversight, have been beneficial in collecting medication histories and identifying medication discrepancies to prevent errors.
dc.description.departmentPharmacy Practice and Translational Research, Department of
dc.format.digitalOriginborn digital
dc.format.mimetypeapplication/pdf
dc.identifier.urihttp://hdl.handle.net/10657/1889
dc.language.isoeng
dc.rightsThe author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).
dc.subjectMedication reconciliation
dc.subjectMedication history
dc.subjectStudent pharmacist
dc.subjectPediatrics
dc.subjectPharmacy
dc.titleThe Implementation of a Pharmacy Student-led Medication History Program in a Large, Tertiary Pediatric Emergency Center
dc.type.dcmitext
dc.type.genreThesis
thesis.degree.collegeCollege of Pharmacy
thesis.degree.departmentPharmacy Practice and Translational Research, Department of
thesis.degree.disciplinePharmacy Leadership and Administration
thesis.degree.grantorUniversity of Houston
thesis.degree.levelMasters
thesis.degree.nameMaster of Science

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